The MacNew heart disease questionnaire addresses three major HRQL domains , There is a valid and responsive measure of health-related quality of life for. Psychometric testing of the Chinese Mandarin version of the MacNew Heart Disease Health-related Quality of Life questionnaire for patients with myocardial . Assessment of quality of life using self-reported questionnaires is a way to evaluate and explore the psychological experience of patients with heart problems.

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Confirmatory factor analysis assesses the validity of a pre-specified factor model.

Effects of sample size, estimation methods, and model specification on structural equation modeling fit indexes. Community Dent Oral Epidemiol. Health Qual Life Outcomes. Health-related quality of life and economic evaluation. The factor analysis confirmed that this question did not relate well to any of the other items.

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In fact, both of these items appeared to be closer to all of the items that loaded onto factor 3. Evaluative and discriminative properties of the Portuguese MacNew health-related quality of life questionnaire.

MDempster assisted in the design of the study, conducted the data collection, assisted with the data analysis and drafted the manuscript. The SF consists of 36 items which are divided into eight dimensions: The MacNew questionnaire is a reliable and valid method of assessing changes in health-related quality of life among this population. Outcome measures used to evaluate HRQL among cardiac patients have been introduced [ 34 ] and numerous generic and disease-specific questionnaires have been developed but there is no general consensus on their relative merits.

The MacNew has 27 items reduced to three factors: The MacNew questionnaire consists of 27 questions in three domains, emotional, physical, and social, and uses a 7-point scale with higher scores indicating better HRQL perception.


The contribution of each item in the questionnaire to the three domains of ‘ physical ‘, ‘ emotional ‘, and ‘ social ‘ was evaluated. However, there was a problem with items 6 and The effect of personal health education on the quality of life of patients with angina in general practice.

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With rehabilitation, the time course of recovery of health-related quality of qquestionnaire, using the MacNew, is more rapid than that of exercise tolerance.

National Center for Biotechnology InformationU. Internal consistency was high and comparable to other studies, ranging from 0. This review suggested, on the basis of the best available psychometric evidence, that the most appropriate generic and disease-specific measures of HRQoL for use among people with ischaemic heart disease were the Short Form 36 SF [ 2 ] and version two of the Quality of Life after Myocardial Infarction questionnaire now referred to as the MacNew Quality of Life Questionnaire [ 3 ], respectively.

Health-related quality of life in patients with coronary artery disease treated for angina: Down in the dumps.

language validation

Abstract Background Health-related quality of life HRQL assessment is an important measure of the impact of a wide range of disease process on an individual. Analysis was carried out using SPSS version The MacNew is designed to evaluate the impact of treatment, including questiojnaire rehabilitation, and has been shown to be valid, reliable and responsive, is simple to administer and well-accepted by patients, and normative data are available for patients with myocardial infarction, angina pectoris, and qualihy failure.

As providers of health care attempt to evaluate the effectiveness of interventions aimed at controlling or reducing the sequelae questionnnaire diseases such as cardiovascular conditions, morbidity and mortality indices are too crude and insensitive. The psychometric properties of the SF have been investigated in a variety of patient groups [ 2 ] and there is strong evidence for the reliability and validity of this instrument when used among people with ischaemic heart disease [ 1 ].

Discussion A common critique of quality of life tools in clinical research is that data are ‘soft’ and less reliable than traditional clinical assessment or physiological measurement. Cutoff criteria for fit indexes in covariance structure analysis: Received Nov 2; Accepted Jan Outcome assessment in cardiac rehabilitation. These minor differences could be explained by the small population sample.

The transformation of scores was completed using the formula suggested for transforming the SF scores: In contrast, only the proposed physical symptoms scale correlates highly with the SF physical functioning scale and only the proposed restrictions scale correlates highly with the SF social functioning scale.


The MacNew is a revised version of the Quality of Life after Myocardial Infarction Questionnaire QLMI [ 5 ] and there is much difference between the two versions in terms of their suggested factor structure, even though the items on the two versions of this questionnaire are similar.

Duration of hospital stay, literacy and occupational status did not influence any of the HRQL scores.

These items loaded onto factors that contained items which appeared to be dissimilar in content. Baseline domain means were 5, 5. Open in a separate window. Health-related quality of life in patients with coronary artery disease treated for angina: Support Center Lide Center.

The chi-square statistic has been associated with sample size problems and distributional misspecifications [ 1112 ], hence the increasing reliance on alternative fit indices. Much has been written about the psychometric properties macne the SF and the results concerning the factor structure of this instrument appear to be fairly consistent see Ware et al.

Clinical and Experimental Cardiology.

The factors have been labelled emotion, restrictions, physical symptoms, perception of others, and social functioning. Translation and validation of two Chinese health-related quality of life instruments in patients with coronary heart disease.

In most cases, this expectation was confirmed, but there appears to be greater discrimination between the factors of our proposed structure than between the three factors suggested by Valenti et al. The MacNew questionnaire consists of 27 items, each with a 7 point response scale ranging from “all of the time” to “some of the time”. A total of patients, all of whom were assessed by a consultant cardiologist, were asked, at hospital, for their consent to participate in the study.